Lunch Program Registration Form

Kingswood Elementary School

Session#1: Mondays (6 weeks) October 16- November 27*

*No class on November 13

Please enter the following information:

Student Name (required):

Date of Birth (required):

Grade (required) :

Teacher (required):

Contact Name (required):

Phone Number (required):

Email (required):

Medical Issues or Concerns:

Message / Remarks:

**Please note: if you having issues with date of birth format, please try to register using chrome browser or your mobile. sorry for inconvenience.